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The Parliament of St. Kitts and Nevis has extended the State of Emergency declared on June 15 through December 32, 2021. The extension will help effectively manage the COVID-19 pandemic in the Federation. The Republic of Panama has continued its vaccination strategy. The Ministry of Health has indicated sufficient doses of the Pfizer and AstraZeneca COVID-19 vaccines are available for the populations that want to be vaccinated. The regional health authorities have called on men and women 30 years and older to register and schedule their vaccine appointments. From 9 June through 1 July over 50,000 doses of the AstraZeneca vaccine have been administered in the Metropolitan Health Region.

164,982 Additional cases

4,579 Additional deaths

0.23% Relative increase in cases

0.24% Relative increase in deaths

34 Countries/territories reporting new cases

24 Countries/territories reporting new deaths

Cases (≥ 1,000) Brazil 65,163

Colombia 28,315 Argentina 21,177 United States 18,156

Mexico 6,081 Chile 4,056 Cuba 3,308

Peru 3,079 Paraguay 1,716 Bolivia 1,662 Ecuador 1,619

Costa Rica 1,602

Deaths (≥ 100)

Brazil 2,029

Colombia 593 Argentina 468 United States 329

Peru 320 Chile Mexico Paraguay

221 201 102

Region of the Americas Update

COVID-19

Brazil 3 PM WDC. 2 July 2021

Region of the Americas

72,645,349 cases

1,910,213 deaths

56 countries/areas/territories affected

Highest numbers of cases & deaths in the last 24 hrs*

Total cases, deaths & CFR (%) among PAHO countries/territories with ≥ 10,000 cumulative cases.

Last 24 hours

Global

182,484,243 cases

3,958,903 deaths

236 countries/areas/territories affected

COVID-19 – Highlights

Staring the weekend of 26 June 2021, the PAHO COVID-19 daily situation reports will no longer be published on Saturdays and Sundays. The reports will continue to be published during the

workweek – Monday through Friday – at the regularly scheduled time, with the exception of any official holidays observed by PAHO in Washington, DC *Numbers may vary due to differences in reporting

times.

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Information current as of 2 July 2021, 15h00 EST – Highlighted in grey: Updates with respect to the information published on 25 June 2021 Based on viral genomic sequencing, on 14 December 2020, the authorities of the United Kingdom reported to WHO a SARS-

CoV-2 variant known as Alpha; on 18 December 2020, the authorities of the Republic of South Africa reported to WHO a SARS-CoV-2 variant known as Beta; and, on 13 January 2021, the authorities of Brazil reported to WHO a SARS-CoV-2 variant known as Gamma. SARS-CoV-2 variants Alpha, Beta, and Gamma are defined as Variants of Concern (VOC), together with variant

Delta , identified in India in October 2020.1 Starting on 18 December 2020, WHO shared that information with authorities across the globe about SARS-CoV-2 VOC and

Variants of Interest (VOI), through dedicated channels established under the International Health Regulations (IHR), as well with the public through the WHO web site.2,3,4 International traffic-related measures adopted by States Parties in the Americas in response to the detection of SARS-

CoV-2 variants The table below summarizes international traffic-related measures adopted by States Parties to the IHR in the Region of the Americas in response to the detection of SARS-CoV-2 variants. Measures adopted are consistent with current Temporary

Recommendations,5 issued by the Director-General of WHO in the context of the Public Health Emergency of International Concern (PHEIC), determined on 30 January 2020 according to IHR provisions.

State Party issuing measures

Hyperlinked description of measures and language of publication6

Date information about measures published on governmental web

pages/social media accounts

State/s Party/ies concerned by measures issued

Antigua and Barbuda English 01-Jun-21 Brazil, India, Republic of South Africa

Argentina Spanish

Spanish

20-Dec-20

25-Mar-21

25-Jun-21

United Kingdom

Brazil, Chile, Mexico, United Kingdom

Extension - Inclusion of Turkey and African

countries; and limitation to 600 persons of volume of

incoming travelers by air admitted daily (link

1 and link 2)

Barbados English 26-Apr-21 Brazil, India, Republic of South Africa

Belize English 25-Jun-21 (?) Bangladesh, India

Bermuda, Overseas Territory of the United Kingdom

English 26-Apr-21 Brazil, India, Republic of South Africa

Bolivia Spanish

Spanish

22-Dec-20

06-Jan-21 15-Feb-21 17-Mar-21

01-Apr-21

All European countries

Extension

Brazil

Brazil Portuguese Portuguese

Portuguese

25-Dec-20 25-Jan-21

14-May-21

United Kingdom Republic of South

Africa, United Kingdom Extension, and

inclusion of India

Canada7 English 19-Feb-21 All countries

1 https://www.who.int/en/activities/tracking-SARS-CoV-2-variants/ 2 https://www.who.int/csr/don/21-december-2020-sars-cov2-variant-united-kingdom/en/ 3 https://www.who.int/csr/don/31-december-2020-sars-cov2-variants/en/ 4 Coronavirus disease (COVID-19) Weekly Epidemiological Update and Weekly Operational Update:

https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports 5 https://tinyurl.com/49x5pvja

7 On 21 June 2021, the National IHR Focal Point of Canada also reported to PAHO/WHO the extensions of international traffic-related measures,

as reported in previous weekly accounts, as well as the introduction on additional ones , available at: https://www.canada.ca/en/immigration-

refugees-citizenship/services/coronavirus-covid19/travel-restrictions-exemptions.html

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State Party issuing

measures

Hyperlinked description of

measures and language of publication6

Date information about

measures published on governmental web pages/social media

accounts

State/s Party/ies

concerned by measures issued

English8

21-Jun-21

India

Chile Spanish

Spanish

Spanish

20-Dec-20

01-Apr-21 26-Apr-21

24-Jun-21

United Kingdom

All countries Extension

Countries with community

transmission and/or where VOC are circulating

Dominican Republic Spanish

Spanish

15-Jun-21

28-Jun-21

Brazil, India, Republic

of South Africa

Australia, Brazil, Democratic Republic of Congo, India,

Indonesia, Iran, Iraq, Kuwait, Monaco, Republic of Ireland,

Republic of South Africa , Saint Vincent

and the Grenadines, Senegal, Sweden, Syria, Thailand, Tunisia,

United Kingdom

Ecuador Spanish 06-Apr-21 Brazil

Guatemala Spanish 16-Apr-21

24-May-21

Brazil, Republic of

South Africa, United Kingdom Amendment

Honduras Spanish 11-Jun-21

Republic of South

Africa, United Kingdom,

Jamaica English 03-Apr-21

05-May-219

30-Jun-21

Argentina, Brazil,

Chile, Colombia, Paraguay, Peru, United Kingdom

Extension - Inclusion of India, Trinidad and Tobago, and exclusion

of United Kingdom Extension

Panama Spanish

Spanish

Spanish

21-Dec-20

29-Mar-21

29-Apr-21

Republic of South

Africa, United Kingdom South America

Extensions and modifications of all the

above

Peru Spanish 18-Jun-21 Brazil, India, Republic of South Africa,

Saint Kitts and Nevis* English 9-Jun-21

Brazil, India, Republic

of South Africa, United Kingdom

8 Also reported to PAHO/WHO by the National IHR Focal Point of Canada 9 Rationale underpinning measures adopted provided by the National IHR Focal Point of Jamaica on 20 May 2021

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State Party issuing

measures

Hyperlinked description of

measures and language of publication6

Date information about

measures published on governmental web pages/social media

accounts

State/s Party/ies

concerned by measures issued

Saint Vincent and the Grenadines

English 23-Feb-21 Brazil, Republic of South Africa

Trinidad and Tobago English 21-Dec-20 United Kingdom

United States10,11 English English

English

English12

24-Dec-20 12-Jan-21

25-Jan-21

30-Apr-21

United Kingdom All countries

Brazil, United

Kingdom, Republic of Ireland, Republic of South Africa, Schengen

Area 13 India

*Saint Kitts and Nevis: Effective 29 May 2021, full vaccination against COVID-19 is the condition for granting entry

(https://www.stkittstourism.kn/), contravening both, current Temporary Recommendations,14 as well as Articles 35 and 36 of the IHR.

International traffic-related measures adopted by States Parties outside the Region of the Americas, including those in

response to the detection of SARS-CoV-2 variants, are periodically published on the WHO secure Event Information Site (EIS), established pursuant to IHR provisions and accessible to National IHR Focal Points.

10 Also reported to PAHO/WHO by the National IHR Focal Point of the United States 11 On 21 June 2021, the Government of the United States extended the international traffic-related measures, , as reported in previous weekly

accounts, available at: https://ca.usembassy.gov/covid-19-information-canada-3/, and https://mx.usembassy.gov/travel-restrictions-fact-sheet/ 12 Reported to PAHO/WHO by the National IHR Focal Point of the United States on 3 May 2021 13 The Schengen Area includes Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ice land,

Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, and

Switzerland 14 https://tinyurl.com/49x5pvja

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Map 1. Reported number of cumulative COVID-19 cases in the Region of the Americas and corresponding incidence rate (per 100,000 population) by country/territory. As of 2 July 2021.

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Map 3. Reported number of cumulative COVID-19 cases in the Caribbean sub-region and corresponding incidence rate (per 100,000 population) by country/territory (sub-national level). As of 2 July 2021.

Map 2. Reported number of cumulative COVID-19 cases in the Central American sub-region and corresponding incidence rate (per 100,000 population) by country/territory (sub-national level). As of 2 July 2021.

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7 Day MA*

TrendCummulative

7day %

change

7 Day MA*

TrendCummulative

7day %

changeCanada 1,415,284 -32% 26,295 -43% Community transmissionMexico 2,525,350 27% 233,248 -8% Community transmission

33,362,117 8% 600,009 -13%

Subtotal 37,302,751 859,552

Belize 13,300 78% 329 -100% Community transmissionCosta Rica 369,540 0% 4,674 -24% Community transmissionEl Salvador 78,766 30% 2,393 6% Community transmissionGuatemala 296,438 -38% 9,282 -22% Community transmissionHonduras 263,376 16% 7,030 -6% Community transmissionNicaragua 6,604 27% 191 0% Community transmissionPanama 404,983 11% 6,552 24% Community transmissionSubtotal 1,433,007 30,451

Argentina 4,491,551 10% 94,772 -9% Community transmission441,286 1% 16,822 -17%

Brazil 18,622,304 -30% 520,095 -17% Community transmissionChile 1,562,613 -23% 32,809 6% Community transmissionColombia 4,269,297 5% 107,137 0% Community transmissionEcuador 461,157 14% 21,668 18% Community transmissionParaguay 424,998 -6% 13,017 18% Community transmissionPeru 2,057,554 -15% 192,687 -8% Community transmissionUruguay 370,600 -35% 5,619 -21% Community transmission

274,024 -5% 3,136 -3%

Subtotal 32,975,384 1,007,762

Anguilla 111 0% -9900% Imported/Sporadic casesAntigua and Barbuda 1,264 0% 42 0% Clusters of casesAruba 11,140 -42% 107 0% Community transmissionBahamas (the) 12,735 36% 246 -75% Clusters of casesBarbados 4,082 -41% 47 0% Community transmissionBermuda 2,516 0% 33 0% Imported/Sporadic casesBonaire 1,624 150% 17 0% Community transmission

Caribbean

and Atlantic

Ocean

Islands

South

America

COVID-19 situation reported by

countries and territories in the Americas,

as of 2 July 2021Updated as of 3 PM

North

America

Central

America

Cases Deaths Sub-Region Country/Territory Transmission Type

United States of America

(the)

Community transmission

Bolivia (the

Plurinational State of)

Community transmission

Venezuela (Bolivarian

Republic of)

Community transmission

* 7 Day Moving Average

Legend >50% increase

10% to 50% increase

10 to -10% change

10% to 50% decrease

>50% decrease

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Table notes on the next page

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NOTES: Case and death counts may include both confirmed and probable classifications depending on the reporting Member State.

• Antibody tests, including rapid diagnostic tests (RDTs) based on antibody detection, are not recommended for use by PAHO/WHO in clinical diagnosis. Antigen-detecting RDTs may be used following the WHO 11 September 2020 Guidance, available at: https://bit.ly/2FxK2fs.

• Data is updated on a weekly basis for Guadeloupe, Martinique, Nicaragua, Saint Barthelemy, Saint Martin, and Saint Pierre and Miquelon.

• As of 11 November 2020, the previously aggregated Bonaire, Saba and Sint Eustatius are now being presented separately in the table.

• *A dispute exists between the Governments of Argentina and the United Kingdom of Great Britain and Northern Ireland concerning sovereignty over the Falkland Islands (the) (Malvinas)

Argentina: On 14 March 2021, due to daylight savings time observed in Eastern Standard Time zone, the Argentina data is no longer published by 3:00PM EST same day and is henceforth included in the following day table. Between 22 February and 14 March 2021, the data had corresponded to the same date. Bahamas: According to the latest Bahamas Ministry of Health (MoH) publication, there are a total of 29 additional deaths under investigation, available at: https://bit.ly/3wh84Aq. Ecuador: According to a 6 September Ecuador Ministry of Public Health press release, only cases confirmed by RT-PCR will be reported; previously, cases who tested positive by either RT-PCR or RDTs were reported, resulting in the exclusion of 8,956 cases. Available at: https://bit.ly/3h2EWEA. El Salvador: Cumulative cases and deaths as published by the Government of El Salvador: https://covid19.gob.sv/. The government presents a retroactively adjusted epidemiological curve of daily cases on the same dashboard. Guadeloupe: Deaths are aggregated for Guadeloupe, Saint Martin and Saint Barthelemy in Santé Publique France weekly publications; death counts for Guadeloupe are calculated subtracting deaths in Saint Martin and Saint Barthelemy. Available at: https://bit.ly/39UMysd. Jamaica: According to the latest Jamaica Ministry of Health and Wellness press release, there are a total of 117 additional deaths under investigation, available at: https://bit.ly/3qAwIJo. Mexico: On 1 June 2021, the Mexico Ministry of Health reported 4,272 deaths in 24 hours. Of these, 3,924 were reported in 2020 and the remaining were reported in 2021. Available at: https://bit.ly/3pfdMA8. Nicaragua: Please note there are discrepancies with the data published by the Citizen's Observatory COVID-19 Nicaragua as of 26 June 2021. Available at: https://bit.ly/3pw7ZVR. Peru: Aggregated case total as reported by the Peru MoH; latest disaggregated data available is 610,630 by RT-PCR + 511,548 by antigen tests + 932,297 by other RDTs. Antibody tests, including RDTs based on antibody detection, are not recommended for use by PAHO/WHO in clinical diagnosis. Antigen-detecting RDTs may be used following the WHO 11 September 2020 Guidance, available at: https://bit.ly/3fJVKTM. On 31 May 2021, the Government of Peru announced that, after revision, the death toll was 180,764 deaths as of 22 May 2021, available at: https://bit.ly/3fYGj8V. The number of cumulative deaths reported prior to the revision, on 30 May, was 69,342, available at: https://bit.ly/3pkar2U. Puerto Rico: Aggregated case total as reported by the Puerto Rico Department of Health (DoH); 123,013 were positive by RT-PCR and 17,093 were positive by antigen tests; previously, cases who tested positive by either RT-PCR or serological RDTs were reported, resulting in the exclusion of 33,965 cases. Available at: https://bit.ly/2VvjksQ. United States of America: Case and death counts include both confirmed and probable classifications, as published on the U.S. Centers for Disease Control and Prevention (US CDC) website on 2-July. Excludes American Samoa, Federated States of Micronesia, Guam, Commonwealth of the Northern Marianas, Puerto Rico, Palau, Republic of Marshall Islands and the United States Virgin Islands. Case and death counts may differ from other US CDC data

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sources because these are provisional counts which are subject to change, including updates to data reported previously, adjustments can occur. Sources: https://bit.ly/2RSpap5 and https://bit.ly/2RVI2n6. Uruguay: According to the latest Uruguay Ministry of Public Health report, the total notes 09 positive cases reported in the last 24 hours were excluded from the total. Available at: https://bit.ly/3xfUrlp. DATA ADJUSTMENTS: Differences in the total number of cases and/or deaths and respective % increases reflect the following adjustment(s): Haiti: Cases were retrospectively adjusted for 27-28 June 2021 to align with Haiti MoH indicating 18,665 and 18,737 cases, including 438 and 443 deaths respectively. Avaiable at: https://bit.ly/3xe3SSD and https://bit.ly/3Arann8. Peru: Cases were retrospectively adjusted for 1 July 2021 to align with Peru MoH indicating 2,054,475 cases, including 192,367 deaths. Available at: https://bit.ly/3jzdYcF